Provider Demographics
NPI:1568172393
Name:STERLING HEARING AID CENTER INC
Entity Type:Organization
Organization Name:STERLING HEARING AID CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/H1 SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-499-7080
Mailing Address - Street 1:603 FREEPORT ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081
Mailing Address - Country:US
Mailing Address - Phone:815-499-7080
Mailing Address - Fax:815-626-3220
Practice Address - Street 1:603 FREEPORT ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081
Practice Address - Country:US
Practice Address - Phone:815-499-7080
Practice Address - Fax:815-626-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty